Non-operative treatment of neglected bilateral posterior four-part fracture- dislocation of the shoulders-a case report

Abstract

Background: Bilateral posterior dislocation of the shoulders is rare and may result from a seizure. A 8 year-old HIV-positive man who presented eight weeks after bilateral posterior shoulder dislocation a n d bilateral fracture s of the surgical necks of both humeri is reviewed. He w a s treated with an algesics and physiotherapy and was able to return to work after 9 months. Conclusion: The rarity of this lesion , its late presentation , the importance of a high index of suspicion in making the diagnosis a n d the fair outcome of non-operative treatment informed this report